Evaluation influencing factors of treatment duration in patients with traumatic eardrum rupture

Abstract

Traumatic rupture of the eardrum is one of the most common cases following traumatic events and requires medical care and sometimes surgery for treatment, and this requires the imposition of financial costs on the individual and society. Therefore, the aim of this study was to evaluate influencing factors of treatment duration in patients with traumatic eardrum rupture. Materials and Methods: In this cross-sectional analytical study, 100 patients were collected based on the average of the studied articles. Based on the otoscopic examination of the tympanic membrane, a small tear (Pin Point) was defined as cases that were less than 1.4 (quarter) of the tympanic membrane, and a medium tear (Medium) was defined as a rupture that was less than 1.4 (quarter) of the tympanic membrane. Up to half of the tympanic membrane and large ruptures (Large) included more than half of the tympanic membrane and to determine the extent of hearing loss in these patients in decibels, audiogram, tympanogram, ECV, SDS and SRT were performed from all patients. Results: The mean age of the patients was 35.44±11.70 years with a median of 33 years. The minimum age of the patients was 10 years and the maximum was 63 years. 72% of patients were male and 28% were female. In the study of the frequency of the type of trauma leading to traumatic rupture of the eardrum in the studied patients, the highest frequency was related to slap with a frequency of 71 cases. In the study of the frequency of traumatic rupture of the eardrum, it was observed that the highest frequency is related to the rupture in the round shape. Regarding the location of rupture of the eardrum in the studied patients, it was observed that 60 cases (60%) rupture was in the lower posterior location, 38 cases (38%) were in the upper posterior location and 2 cases (2%) were in the middle location of the eardrum. Regarding the size of rupture in the studied patients, it was observed that 69 patients (69%) had small ruptures (less than 1.4 quarters of tympanic membrane), 17 cases (17%) had moderate ruptures (1.4 to 1.2 tympanic membranes) and 14 cases (14%) had a large tear (more than half of the tympanic membrane). Eleven percent of patients recovered in the first month, 44 percent in the second month, 21 percent in the third month, and 24 percent did not recover.